Individual
DR. SABA V BEJANISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
052143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432250739C
—
GA
01
—
P00218408
RR MEDICARE
—
Enumeration date
01/25/2006
Last updated
12/03/2010
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